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NCDHHS

NCDHHS Submits COVID-19 Vaccination Plan to CDC

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-Press Release, NCDHHS

North Carolina has submitted to the Centers for Disease Control and Prevention its COVID-19 Vaccination Plan. The goal of the plan is to immunize everyone who is eligible for and wants a COVID-19 vaccine.

“Leaders from across sectors came together under tight timelines to collaboratively develop a vaccine plan that leads with equity and prioritizes building trust. We will continue to update this plan as we learn more from the science and data on vaccines and in response to the needs of North Carolinians,” said NC Department of Health and Human Services Secretary Mandy K. Cohen, M.D.

North Carolina’s vaccine plan reflects five principles that guide the planning for and distribution of one or more COVID-19 vaccines in the state. The principles include:

1. All North Carolinians have equitable access to vaccines.
2. Vaccine planning and distribution are inclusive; actively engages state and local government, public and private partners; and draws upon the experience and expertise of leaders from historically marginalized populations.
3. Transparent, accurate and frequent public communications are essential to building trust.
4. Data is used to promote equity, track progress and guide decision-making.
5. Appropriate stewardship of resources and continuous evaluation and improvement drive successful implementation.

“North Carolina Emergency Management has been working with our partners at the NC Department of Health and Human Services to ensure we have a solid coronavirus vaccine plan,” said NCEM Director Mike Sprayberry. “From an operational perspective, this plan engages the state’s resources down to a county and local level and allows for flexibility based on data so we can pivot quickly and get the vaccine to those who are most in need.”

Currently, multiple vaccines are in development. For a vaccine to be authorized, studies must show it is safe and can prevent someone from catching COVID-19. Thousands of people have volunteered to be part of research trials across the United States and around the world to see if a vaccine is safe and prevents COVID-19 illness. Promising vaccines are being manufactured at the same time they are being tested, so there will be an initial supply when the science shows which vaccines are found to be safe and effective.

Once the Food and Drug Administration authorizes a vaccine, it will take time for manufacturers to ramp up production. Therefore, states will receive limited vaccine supplies at the start and will need to determine which populations receive the vaccine first. North Carolina’s prioritization framework was developed based on the National Academy of Medicine framework and in consultation with an external COVID-19 Vaccine Advisory Committee convened by the North Carolina Institute of Medicine.

“Our convening of the COVID-19 Vaccine Advisory Committee informed the state’s plan with independent and diverse perspectives from experts and community leaders across our state. The committee was composed of a broad range of leaders, including from those populations most significantly affected by COVID-19, including racial and ethnicity groups, health care, public health and academia, who worked diligently over the past month in order to fully address equity, inequalities and health issues that are driving the pandemic and creating mistrust,” Michelle Ries, Interim Director, North Carolina Institute of Medicine.

The NCIOM Vaccine Advisory Committee was co-chaired by:

  • Dr. Goldie Byrd, Director, Maya Angelou Center for Health Equity at Wake Forest University;
  • Dr. Leah Devlin, Professor, Department of Health Policy and Management at UNC School of Public Health; and
  • Dr. Art Apolinario, a family medicine physician at Clinton Medical Clinic and Board member of the North Carolina Medical Society.

“My patients have taught me how important it is to recognize the mistrust that the current health care system has created with non-white communities,” said Apolinario, M.D., MPH, FAAFP. “We worked to ensure that racial disparities and equity in the delivery of care were recognized and put in the forefront of this COVID-vaccine decision-making process. We had stakeholders at the table to make sure we made unbiased decisions. Our work was independent, free of political bias, open to all opinions and strictly adhered to data and science as the main tenets for a good decision.”

“Old North State Medical Society is an established trusted health care entity in North Carolina. Since early 2020, Old North State Medical Society testing team has been focusing on efficient and effective ways of testing the vulnerable population for this aggressive and lethal COVID-19 virus, as well as promoting culturally sensitive education and messaging,” said Charlene Green, MD, President, Old North State Medical Society. “Trust is the key to success. Old North State Medical Society strongly recommends the inclusion of established community leaders in supporting the distribution of these new vaccines.”

This is an interim plan and will continue to be revised based on further information and guidance from the CDC and other federal agencies, increasing data on safety and efficacy from vaccine trials, ongoing input from state and local partners and the Vaccine Advisory Committee, and refinements needed as the state progresses through the planning and operational stages.

North Carolina’s COVID-19 Vaccination Plan builds on the foundation of the state’s overall goals and pillars of response to the pandemic: Prevention, Testing, Tracing, Isolation and Quarantine. North Carolina took early and aggressive action to slow the spread of the virus, built statewide capacity for testing, personal protective equipment supplies and contract tracing, developed hospital surge plans, and promoted aggressive prevention strategies.

NCDHHS

New County-Level Data Added to COVID-19 NC Dashboard

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-Press Release, NCDHHS

The North Carolina Department of Health and Human Services is adding new county-level data to the COVID-19 NC Dashboard on the County Map by Cases section of the Summary dashboard page.

Users will now be able to view county-level case data by date ranges, including the number of total cases, the number of cases from the prior day, the number of cases over the last seven days and the number of cases over the last 14 days.

“Local leaders can use this data to help consider if additional local actions are needed to slow the spread of COVID-19 in their communities. As we see viral spread growing, we need everyone’s help to reverse these concerning trends,” said NCDHHS Secretary Mandy K. Cohen, M.D.

In addition to the ability to view data by date ranges, the county map also includes a new metric to display cases per 100,000 residents to align with federal reporting metrics.

NCDHHS

NCDHHS Updates Nursing Home Order to Allow Indoor Visitation

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-Press Release, NCDHHS

As North Carolina’s key metrics continue to remain stable and strong infection prevention and control requirements remain in place, the North Carolina Department of Health and Human Services issued a Secretarial Order yesterday updating visitation guidelines for nursing homes to allow indoor visitation.

“We have focused on protecting the health of nursing home residents since the start of this crisis. Our progress in testing, infection control and slowing the spread of COVID-19 in our communities allows us to move forward with safe indoor visitation in accordance with federal guidance,” said NCDHHS Secretary Mandy K. Cohen, M.D.

Indoor visitation will only be permitted in nursing homes with no COVID-19 cases in the last 14 days and in counties with a percent positive testing rate of less than 10%, reflecting guidance from the federal Centers for Medicare & Medicaid Services.

Local community transmission levels are the key factor for nursing home outbreaks, emphasizing the importance of community-wide adoption of proven prevention practices (the 3 Ws). Facilities allowing in-person visitation will be required to follow strict infection prevention guidelines.

Throughout NCDHHS’s pandemic response, its five-point strategy for long-term care facilities has focused on prevention, staffing, testing, outbreak management and oversight. The department’s innovative universal testing strategy within skilled nursing facilities has been cited by the Rockefeller Foundation as a national model.

NCDHHS

Executive Order Extends School Immunization, Health Assessment Deadlines

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-Press Release, NCDHHS

North Carolina Governor Roy Cooper issued Executive Order 156 extending, but not waiving, proof-of-immunization and health assessment documentation deadlines for school and child-care facilities. With health care visits limited in some cases due to the ongoing COVID-19 pandemic, the order will give students and families more time to get their required vaccines and health assessments completed.

“With kids headed back to school and flu season right around the corner, it’s more important than ever this year for all North Carolinians to get their recommended immunizations,” said NCDHHS Secretary Mandy Cohen, M.D. “Childhood immunizations keep kids safe and protect public health by lowering the likelihood of an outbreak of a vaccine-preventable disease like measles.”

The Executive Order and a State Health Director Memo issued by State Health Director Dr. Elizabeth Tilson will extend, but not waive, North Carolina’s current proof-of-immunization requirement deadlines for students enrolled in public, private or religious educational institutions, including child care facilities and K-12 schools as well as colleges and universities. The Executive Order also extends the deadline for each child entering a North Carolina public school for the first time to submit a school health assessment.

In typical years, proof of required immunizations and health assessments are required within 30 days of the first date of attendance of school. After the 30 days, children are to be excluded from school until the family provides documentation of requirements. This year, the 30-day “grace period” for all students will begin on October 1, 2020. The North Carolina Department of Health and Human Services similarly extended immunization and health assessment deadlines in September 2018 during the aftermath of Hurricane Florence.

Whether children are home-schooled or attend school in-person or by remote learning, they are required by state law to be immunized based on their age for certain vaccinations as recommended by the Centers for Disease Control and Prevention (CDC).

School requirements are listed on the NCDHHS website according to school or grade level, as well as the requirements for young children who attend child care facilities. NCDHHS’ Immunization Branch offers comprehensive guidance on immunization recommendations, as well as advice for families on navigating access issues during COVID-19, and is working with local health departments on strategies to increase immunization access.

NCDHHS is collaborating with multiple partners, including the North Carolina Pediatric Society and the North Carolina Academy of Family Physicians, on an awareness campaign to help ensure school-age children are protected from vaccine-preventable diseases. NCDHHS is also partnering with Community Care of North Carolina, NC Area Health Education Centers and others on the Keeping Kids Well program to increase well-child visits and immunization rates for Medicaid beneficiaries younger than 19 years old. Governor Cooper has proclaimed August Immunization Awareness Month in North Carolina to highlight the importance of immunization.

“Immunization Awareness Month and back-to-school season are important reminders to families to make sure their children are up to date on vaccines. If you have any questions about what vaccines are due or how your doctor’s office is responding to COVID-19, reach out to your pediatrician or family physician,” said Susan Mims, MD, MPH, FAAP, president of the North Carolina Pediatric Society. “Whether your children are going back to school in person or virtually, please make sure they are protected from preventable diseases and death.”

Financial concerns should not act as a barrier to childhood immunization. The Vaccines for Children (VFC) program offers free vaccines to families who cannot afford to pay for their children’s vaccines (through 19 years of age), and federal law requires most private insurance plans including Medicaid to cover recommended preventive services such as vaccinations at no out-of-pocket cost.

In order to be fully protected from vaccine-preventable diseases, children should receive all age-appropriate immunizations.

For more information about vaccine-preventable diseases and recommended immunizations, refer to resources from the CDC and its Advisory Committee on Immunization Practices. Parents who are unsure which vaccines their children need can find out by taking a short quiz on the CDC website.

NCDHHS

Meningococcal Conjugate Vaccine Booster Now Required for All Rising NC 12th Graders

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-Press Release, NCDHHS

Effective August 1, 2020, a booster dose of meningococcal conjugate vaccine (MenACWY) is required for students entering the 12th grade in public, private or religious schools in North Carolina. Students who do not meet this requirement may not be allowed to attend school until they receive the booster dose.

The MenACWY vaccine helps protect against four common strains of meningococcal bacteria (A, C, W and Y) that cause diseases including infections of the lining of the brain and spinal cord (meningitis) and bloodstream infections (bacteremia or septicemia).

“The MenACWY vaccine is the best protection against meningococcal disease, which most often affects young people,” said Kelly Kimple, M.D., M.P.H., Chief of the Women’s and Children’s Health Section of the Division of Public Health. “It is vital that children and adolescents continue to receive all their immunizations on schedule to ensure they are fully protected against all vaccine-preventable diseases, including some of the major causes of meningitis.”

All 11- through 12-year-old adolescents should receive one dose of meningococcal conjugate vaccine. A booster dose of MenACWY should be given at age 16 for adolescents entering the 12th grade or by 17 years of age, whichever comes first. Adolescents who receive their first dose of MenACWY on or after their 16th birthday do not need a booster dose.

There are two age-appropriate vaccines that meet this requirement and provide the necessary protection, Menactra® and Menveo®. If unsure, parents are urged to ask their child’s immunizing provider if they are properly protected, or if an additional vaccine is needed.

Teens and young adults are at increased risk for infection with meningococcal disease. Infection has two common outcomes: meningitis (infection of the lining of the brain and spinal cord) and sepsis (bloodstream infections). Symptoms include sudden onset of fever, headache and stiff neck. With bloodstream infection, symptoms also include a dark purple rash. About 1 of every 10 people who gets the disease dies from it.

Even with treatment, an infection with meningococcal disease can lead to death within a few hours. In non-fatal cases, permanent disabilities can include loss of limbs, hearing loss and brain damage. The bacteria that cause this infection can spread when people have close contact with someone’s saliva, such as through kissing, coughing or sharing eating utensils and cups.

Recognizing the importance of immunization, Governor Roy Cooper has proclaimed July as Adolescent Immunization Awareness MonthOpen PDF in North Carolina. Now, more than ever, public health reminds us of the importance of continued routine vaccination to keep children healthy and avoid the risk of vaccine-preventable disease.

For additional information on meningococcal disease and the updated meningococcal immunization (MenACWY) booster requirement, see the Frequently Asked Questions (FAQ) and our new fact sheet in EnglishOpen PDF or en EspañolOpen PDF.

For more information on all vaccine requirements for 12th graders in North Carolina, go to www.immunize.nc.gov/schools.Open PDF

NCDHHS

Funding Available to Help NC Residents With Energy Bills During Hot Summer Months

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-Press Release, NCDHHS

Funding is now available to help North Carolinians in crisis pay cooling or heating bills or secure cooling or heating resources. The North Carolina Department of Health and Human Services’ Crisis Intervention Program provides assistance to qualified, low-income households who are experiencing a cooling-related crisis (or heating-related crisis in the winter).

“We know many families are currently facing additional financial hardships due to COVID-19, and this program is designed to bring aid to those in crisis to alleviate cooling or heating emergencies,” said David Locklear, Deputy Director of Economic and Family Services in the Division of Social Services. “North Carolina is moving into its hottest months of the year, and we hope those eligible will take advantage of this program to help keep their families safe and healthy.”

A household is in a crisis if it is experiencing, or is in danger of experiencing, a life-threatening or health-related emergency and sufficient, timely and appropriate assistance is not available from any other source. A life-threatening emergency is defined as a household that has no heating or cooling source or has a past due notice for primary heating or cooling service, and the health or well-being of a household member would be in danger if the heating or cooling crisis was not alleviated.

The Energy Programs Application form is available for download at https://epass.nc.gov for applicants to print and mail, fax, scan or drop off at a local DSS office after completion. Applications may also be made by calling the county department of social services or at county departments of social services offices, through June 30, 2021, while the funds are available. Households are individually evaluated by county departments of social services staff to determine whether there is a heating or cooling crisis. Benefits for families may vary, depending on the amount needed to alleviate the crisis.

To be eligible, a household must have at least one person who meets certain criteria, including being income-eligible and have a heating or cooling-related emergency. Full eligibility details are available online at www.ncdhhs.gov/crisis-intervention-program.

The Crisis Intervention Program is funded federally by the Administration for Children and Families. The funds are distributed through county departments of social services directly to the vendor or utility company. During the state fiscal year 2019-20, county departments of social services helped 137,850 North Carolina households experiencing a crisis by assisting with utility bills or securing fuel or cooling resources.

COVID-19 Scam Alert

Notice to Public: Beware of Scams Involving COVID-19 Contact Tracing

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-Information courtesy the NCDHHS 

The public is asked to be aware that scams involving COVID-19 contact tracing are being used to gain financial and sensitive information.

According to the NCDHHS, legitimate contact tracers from the COVID-19 Community Team will contact those who have tested positive or those who have been near someone with COVID-19 by text from the number 45394 or email from NC-ARIAS-NoReply@dhhs.nc.gov. Avoid responding to unknown calls or emails.

If the Community Team reaches out with a phone call, either NC OUTREACH or the local health department’s number will appear on their phone.

If a member of the Team calls and doesn’t get an answer, they will leave a voicemail. To protect your privacy, the voicemail will not say that the call is about COVID-19.

The NCDHHS website explains that callers will know it is a member of the Community Team calling because they will do the following when leaving a voicemail:

  • Identify themselves with their first name and the local health department they are calling from.
  • Say “We are contacting you about an urgent public health matter. We would like to speak with you to provide further information and share guidance.”
  • Request that you call your local health department at your earliest convenience and will tell you the local health department’s phone number.
  • Tell you the local health department’s website in case you would like to go to the website to verify the phone number.

Additionally, if you are ever in doubt about how to contact your local health department, please use this website for local health department contact information (click here).

Four-County Health Departments:

Vance: 115 Charles Rollins Rd, Henderson, NC 27536; (252) 492-7915

Granville: 101 Hunt Dr, Oxford, NC 27565; (919) 693-2141

Franklin: 107 Industrial Dr, Louisburg, NC 27549; (919) 496-2533

Warren: 544 West Ridgeway St, Warrenton, NC 27589; (252) 257-1185

NCDHHS

State Launches Testing Initiative for Nursing Homes

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-Press Release, NCDHHS

The North Carolina Department of Health and Human Services (NCDHHS) will partner with Omnicare, a CVS Health company, to make facility-wide testing available to residents and staff in all North Carolina skilled nursing facilities. There are over 400 nursing homes in the state with approximately 36,000 residents and more than 30,000 staff. Testing will begin in July and continue through August.

“We are using every tool we have to respond to COVID-19,” said NCDHHS Secretary Mandy Cohen, M.D. “Building on North Carolina’s early and aggressive actions to protect residents who live in long-term care settings, DHHS will pay for proactive testing of staff and residents in all nursing homes to slow the spread of COVID-19.”

NCDHHS already recommends that nursing homes with one or more cases test all staff and residents. This initiative further makes testing available to all nursing homes to conduct a baseline test of all residents and staff.

“While testing is a key component of our COVID-response strategy, it is important to remember that the actions we take as a result of that testing are most important,” said NCDHHS Section Chief of Chronic Disease and Injury, Susan Kansagra, M.D., MBA. “Testing will enable our skilled nursing facilities to identify positive cases earlier and better determine additional infection prevention and control measures necessary to contain spread.”

“At CVS Health, our testing efforts in nursing homes are just one example of the support we provide to states like North Carolina to help respond to the COVID-19 pandemic,” said Jim Love, President of Omnicare. “With our expert understanding of the long-term care industry, we are deploying solutions to help these critically important health care facilities address their most significant challenges arising from the pandemic.”

CVS Health will bill insurance as possible, and NCDHHS will cover any additional costs for testing. Facilities should continue to follow recommendations from the Centers for Disease Control and Prevention for repeat testing and work with the community and private vendors to support ongoing testing needs.

“We continue to work closely with the state to protect the residents and staff in our skilled nursing facilities. This testing initiative is another example of how the state is providing our facilities with valuable tools and resources,” said Adam Sholar, President and CEO of the NC Health Care Facilities Association.

These actions build on earlier measures North Carolina has taken to protect residents and staff in long-term facilities, including:

  • Issuing Executive Order 138 which codified public health and safety requirements for long-term care facilities, including requiring staff to wear surgical masks and screenings all staff and residents for signs and symptoms of COVID-19 daily.
  • Distributing PPE to over 3,000 state-licensed long-term care facilities, including 14-day supplies of gloves, procedure masks and face shields.
  • Conducting remote infection prevention and control consultation with skilled nursing and other long-term facilities across the state through a partnership with the Centers for Disease Control and Prevention and the North Carolina Statewide Program for Infection Control and Epidemiology.
  • Providing targeted funding to support nursing homes and adult care homes to provide the intensive care needed for residents with COVID-19 and limit the spread of the virus to other residents and staff.
  • Providing a toolkit to support long-term care facilities in preparing for and responding to COVID-19 outbreaks in their facility. The toolkit contains an infection control assessment, infection staffing worksheet, infection prevention educational resources and other tools.
  • Helping to fill staffing shortages in long-term care facilities and other health care facilities through a partnership with East Carolina University School of Nursing to match Registered Nurses and Certified Nursing Assistants with facilities, particularly long-term care facilities, seeking to urgently hire staff for temporary, part-time or full-time roles. Interested health care employees can register at nc.readyop.com/fs/4cjq/697b.
  • Implementing several temporary regulatory changes to assist providers in caring for their residents during the COVID-19 pandemic, including adopting an emergency rule granting reciprocity to nurse aides certified in other states to work as nurse aides in North Carolina and allowing facilities to exceed the number of licensed beds if needed to provide temporary shelter and services to adequately care for residents with COVID-19.
  • Providing virtual trainings for more than 2,000 staff working in long-term care sites. Trainings are available online at www.ncahec.net/covid-19/webinars.

A list of additional guidance for long-term care facilities can be found here: https://covid19.ncdhhs.gov/guidance#long-term-care-facilities.

For more information about North Carolina’s response to COVID-19, visit nc.gov/covid19.

NCDHHS

NCDHHS Expands County Data; Reports COVID-19 Clusters at Schools, Child Care Settings

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-Press Release, NCDHHS

The North Carolina Department of Health and Human Services (NCDHHS) has expanded the COVID-19 Dashboard to include expanded county data on trends, demographics and testing. The updated dashboard also includes a new report on COVID-19 clusters in child care and school settings.

The interactive NC COVID-19 Dashboard now includes county trends over time in cases and deaths, as well as demographic information on cases and deaths by race, ethnicity, sex and age. It also displays one of the key statewide metrics by county– percent of tests that are positive. Together, these data provide a more in-depth picture of COVID-19 at the county level.

Previously, testing data by county was not available because a large proportion of negative tests were reported manually and did not include county information. With more tests now being reported electronically with county data, there is now sufficient data to reliably share the percent positive by county. The dashboard will also display the number of tests that are reported electronically in each county.

There are limitations to the data. About a quarter of recent tests reported to North Carolina are not reported electronically, and some counties may be more likely to use a lab that reports electronically.

In addition to the expanded county data, the Department now provides a biweekly report on COVID-19 clusters in child care and school settings. A cluster is defined as both a minimum of five cases in the same facility within a 14-day period and plausible epidemiological linkage between cases.

The report includes the facility type (school or child care), county and the number of cases and deaths among staff and children. This information will be part of the Outbreaks and Clusters section of the Dashboard, which also includes cases and deaths at long-term care facilities, other congregate care settings. The first report of clusters in child care and school settings will be available later today.

NCDHHS will continue to assess and provide additional data as the COVID-19 pandemic evolves and more information becomes available. The dashboard can be accessed online at covid19.ncdhhs.gov/dashboard.

For more information about North Carolina’s response to COVID-19, visit nc.gov/covid19.

NC Governor Logo

NC Public Schools’ Reopening Plan to be Announced by July 1

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THIS STORY IS PRESENTED IN PART BY DRAKE DENTISTRY

-Press Release, Office of NC Governor Roy Cooper

To hear further discussion on this press release, please go to WIZS.com and click on today’s Town Talk.

New health guidelines released Monday represent a first step to help North Carolina K-12 public schools find a safe way to open to in-person instruction for the 2020-21 academic year, health and education leaders announced Monday.

The StrongSchoolsNC Public Health Toolkit (K-12) lays out a comprehensive set of baseline health practices that public schools should follow to minimize the risk of exposure to COVID-19 for students, staff, and families. In addition to specific requirements, the Toolkit recommends practices that schools should implement to minimize the spread of COVID-19 while allowing in-person teaching to resume.

Governor Roy Cooper, State Superintendent of Public Instruction Mark Johnson, State Board of Education Chair Eric Davis, and NC Department of Health and Human Services (DHHS) Secretary Mandy Cohen shared the guidance Monday.

“Getting children back to school to learn is a high priority, but they must be able to do so in the safest way possible,” said Governor Cooper. “Every child, family and public school educator in North Carolina deserve strong protection to lower the risk of virus spread.”

Schools are asked to plan for reopening under three scenarios – Plan A: Minimal Social Distancing, Plan B: Moderate Social Distancing, or Plan C: Remote Learning Only. NCDHHS, in consultation with the State Board of Education and Department of Public Instruction, will announce by July 1 which of the three plans should be implemented for schools to most safely reopen. The remaining plans may be needed if the state’s COVID-19 metrics change over time.

“Opening schools will be possible if we keep working together to slow the spread of COVID-19. We will each need to do our part and practice the 3 Ws – Wear a cloth face covering. Wait six feet apart. Wash your hands frequently. These easy actions will have an outsized impact in keeping viral spread low in order to help get our children back to school,” said Cohen.

The Public Health Toolkit was developed collaboratively by DHHS and DPI with input from a range of stakeholders across the state, including local superintendents, State Board of Education members, the Governor’s Teacher Advisory Council, and members of the Governor’s COVID-19 Education and Nutrition Working Group.

“We are working together to balance the need for all of our children to get back to school – especially children who rely on public schools for their education, health, safety and nutrition – while at the same time proceeding cautiously and deliberately to protect their health and safety,” said Chairman Davis. “I know meeting these public health requirements will take a tremendous effort by our schools – but I also know we are doing the right thing and that our schools will rise to the challenge.”

The StrongSchoolsNC Public Health Toolkit will be a companion to operational guidance under development by DPI that will offer strategies for how to implement the public health guidance and cover other non-health areas for reopening planning, including scheduling, instructional practice, and staff training.

“Today, North Carolinians have the important first step of returning to schools in the fall with this release of the final health guidance for schools from the NC Department of Health and Human Services,” Superintendent Johnson said. “In addition, the North Carolina education agency has already been leading workgroups, comprised of diverse stakeholders from teachers to school staff to superintendents to other support professionals, to create draft operational strategies that will help our school systems prepare for the fall. We will now seek feedback on the draft operational strategies from other stakeholders across the state to ensure that we best capture the needs of all our schools.”

The StrongSchoolsNC Public Heath Toolkit (K-12) was developed using the most current CDC guidance for schools and includes requirements and recommendations for eight areas: Social Distancing and Minimizing Exposure; Cloth Face Coverings; Protecting Vulnerable Populations; Cleaning and Hygiene; Monitoring for Symptoms; Handling Suspected, Presumptive or Confirmed Positive Cases of COVID-19; Communication and Combating Misinformation; Water and Ventilation Systems; Transportation; and Coping and Resilience.

For example, it requires students and others to be screened for illness before entering school and requires floor markings to maintain social distance. It also includes sample screening symptom checklists in English and Spanish, a flow chart protocol for handling suspected or confirmed cases of COVID-19, and a checklist of infection control supplies schools may need. The Toolkit will be updated as new health guidance is released by the CDC and additional resources are added.

Questions about the StrongSchoolsNC Public Heath Toolkit (K-12) should be directed to StrongSchoolsNC@dhhs.nc.gov (in English or in Spanish).